Adonai Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24029 Issued in TX

Legal business name

ADONAI DENTAL CLINIC

Practice address

3210 Loop 20
#A6
Laredo, TX 78043-5009

Phone

(956) 727-8200

NPI assigned

Nov 26, 2009

Last updated

Dec 21, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Olakunle Ibitoye Johnson, DDSNPI 1467616268

Title

Dentist

Phone

(404) 918-5942

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olakunle I Johnson

  • General Practice Dentistry
  • Laredo, TX
  • NPI 1467616268
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1558699744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 LOOP 20",
            "address_2": "#A6",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780435009",
            "telephone_number": "956-727-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 LOOP 20",
            "address_2": "#A6",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780435009",
            "telephone_number": "956-727-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADONAI DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-26",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "OLAKUNLE",
        "authorized_official_middle_name": "IBITOYE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "404-918-5942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467616268",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus F. Acosta, PTA
• Action Kids Rehabilitation PC
• Unknown Adil Mohammed Siddiqui
• Adira Physician Partners, PLLC
• Adolfo G. Garcia, M.D. P.a.
• Adult Health Clinic
• Advanced Center for Wellness, LLC
• Advanced Center for Welness LLC
• Advanced Home & Community Care of Laredo, Inc.
• Advanced Institute for Women's Health, P.a.

• General Practice Dentistry in Laredo, TX
• Providers in Laredo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.